Utility of the Ginza forceps for superficial phlebectomy during endovenous laser ablation of the great saphenous vein.

Abstract

To evaluate the efficiency of using the Ginza forceps (DVx, Tokyo, Japan), which have a long shaft and strong grip, for superficial phlebectomy with the stab avulsion technique, during simultaneous endovenous laser ablation (EVLA) of the great saphenous vein (GSV). The subjects were patients treated with EVLA performed by a single operator at one institution. All patients had a GSV diameter of 4-10mm and an EVLA length of the GSV of >20cm. We compared 59 limbs treated only with the Varady hook (Group A) with 46 limbs treated with the Ginza forceps (Group G). The mean operative times for Groups A and G were 55.4±17.1 vs. 48.5±13.5min, respectively (P=0.002), and the number of stab incisions was 5.9±2.9 (1-13) vs. 3.5±2.3 (1-11), respectively (P<0.001). The rates of nerve injury and thrombophlebitis were 1.7 vs. 0 and 3.4 vs. 0%, respectively. Performing superficial phlebectomy with the Ginza forceps reduced the operation time and the number of stab wounds. These initial results suggest that using the Ginza forceps for the procedure is safe and efficient.